SHAUN WAGNER

CULVER CITY, CA
NPI1518281336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95021557)
Additional Taxonomies163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  443697)
Enumeration Date2010-03-23
Last Update Date2023-05-16
Business Address
SHAUN WAGNER
9808 VENICE BLVD SUITE 700
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
Mailing Address
SHAUN WAGNER
9808 VENICE BLVD SUITE 700
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350